Matter Over Mind
Mental health struggles are real and must have a voice.
This post is an edited version of what I published years ago on a former blog. The issue of mental health is such an important one, and mental health issues unfortunately have had a negative stigma over the years. I do see that stigma gradually eroding. For another Substack that discusses mental health, please see Alene Nitzky’s essays titled An Admission and I’m Back. I admire Alene’s candor and self-advocacy.
Throughout my pre-cancer life, many people have liked my fortitude and tenacity. Despite life’s setbacks, my mind remained intact.
Until I was diagnosed with and treated for breast cancer.
I am fortunate to have been NED (no evidence of disease) for so long. And I’m grateful for my abundant blessings. Those with metastatic cancer have it so much worse than me, that it’s almost embarrassing to write this piece. After all, comparatively speaking, I have it easier.
But the breast cancer experience has truly been my Achilles’ heel, and my psyche has paid the price: I live with Post Traumatic Stress Disorder (PTSD).
For me, this condition is successfully managed with medication and psychotherapy. But whenever I see a doctor or have any kind of medical procedure, I spend so much energy trying to calm myself through practicing self-talk, deep breathing, sketching on a pad, reading, listening to music, and so on, that I feel depleted the rest of the day.
Well-meaning people have told me that I should put the cancer experience behind me, and one arrogant doctor recently told me I have to focus on being happier.
Huh?
Having a life-threatening trauma – or any trauma come to think of it – can cause a chemical imbalance in the brain. In my case, untreated PTSD resulted in sensory flashbacks – such as re-living the cancer experience daily, smelling the chemo room, feeling I was in ICU again, feeling the prick of an IV needle, tasting the metallic sensation of treatment, and living in terror.
Thanks to my treatments, I now live a wonderful, content life. Yet, I can be triggered by what people might consider minor medical-related occurrences.
For example, this week has been rough on me. I’ve had a routine medical test and I have to schedule a routine physical exam soon. I have found this week unbearable.
I find the road toward sound mental health is ever evolving and always enlightening. But I have no illusions: PTSD is here to stay. Luckily, I am living a quality life nonetheless.
I’ve written another pantoum, “Mind Games,” about my mental struggles with cancer survivorship.
Mind Games
Mind games
playing cancer leftovers,
flashbacks, slash and burn, crash and churn
vessels of liquid memory,
playing cancer leftovers,
tightroping ‘tween today and
vessels of liquid memory,
I must hold the flashbacks
tightroping ‘tween today and
my former self.
I must hold the flashbacks
in favor of toxic positivity and
my former self.
flashbacks, slash and burn, crash and churn
in favor of toxic positivity and
mind games
Now for paintings.
Here are the watercolor drafts of the grapes:
I realize that I can’t think of any poems on the grapes, so I’m sure I will not be able to write a poem for each finished painting.
Turns out, the painting of the mountains with the night sky is finished with no additions, so I just signed it. Next week a new painting will be on the horizon.
And here is its accompanying haiku.
Starstruck
Stars’ motion, uni-
versed about western skies while
a comet descends






Mental Health is like exercise. You work out physically because it gives you energy and makes your stronger. With mental health you work out too. It's the exercise that reveals the strengths and gifts of knowing the inner life.
Your words here are so accepting and compassionate. Life can be a tough teacher, but as you demonstrate, when you keep it real and pay attention, you grow in self-love and compassion. Sometimes our frailties are the greatest lessons. Your sharing with such emotional honesty, enriches my life, Beth. Thank you. It's like a permission slip for me to keep it real and not succumb to the influence of people who say things like, "can you just move forward now?"
And the art. . .The grapes will always be "the midnight grapes," because you painted the first draft of them in the middle of the night instead of tossing and turning in bed. I like how the added dark colors gave them shape and deeper form. And of course, you know I love "Starstruck" because it reminds me of Joshua Tree.
The poetry . . . you had a really creative week and the results are beautiful. Your voice is the glimmer of light in dark places; a song of inspiration to those of us who share the path with you; a poetic weaving of human life unfolding. As always, I remain grateful for your friendship. You are part of an artistic community here that has become integrated into my days. So on that note, I sign off as your forever friend and fan, ~stephanie
PTSD from cancer treatment is a real thing. Thank you for addressing it. The grapes and mountains are beautiful.